A burn patient has full-thickness burns over the anterior trunk (18%), anterior left leg (9%), and perineum (1%). Using the Parkland formula, how many mL of Hartmann's solution should be given in the FIRST 8 hours if patient weighs 70 kg? (First compute: Total = 4 × 70 × 28; first 8 hours = total/2)

• A 2940 mL
• B 7840 mL
• C 1960 mL
• D 3920 mL ✓

Explanation

TBSA burned = 18% + 9% + 1% = 28%. Parkland formula: 4 mL × kg × %TBSA = 4 × 70 × 28 = 7840 mL total in 24 hours. Half is given in the first 8 hours from time of injury: 7840 ÷ 2 = 3920 mL. The remaining 3920 mL is given over the next 16 hours. Timing is calculated from time of injury, not from time of hospital arrival.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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